| Jeffery Y. Taylor Dmd, Pa | |
|
431 Security Sq Gulfport MS 39507-1922 | |
| (228) 896-4325 | |
| (228) 896-5787 |
| Full Name | Jeffery Y. Taylor Dmd, Pa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 431 Security Sq, Gulfport, Mississippi |
| Authorized Official Name and Position | Ann Pagitt (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 2288964325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery Y. Taylor Dmd, Pa 431 Security Sq Gulfport MS 39507-1922 Ph: (228) 896-4325 | Jeffery Y. Taylor Dmd, Pa 431 Security Sq Gulfport MS 39507-1922 Ph: (228) 896-4325 |
| NPI Number | 1932282563 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932282563 | NPI | - | NPPES |
| 696993 | Other | ACTIVE DUTY MILITARY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | PER24293 (Georgia) | Primary |
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